REPUBLIC OF THE PHILIPPINES)
PROVINCE OF PANGASINAN ) S.S.
MUNICIPALITY OF )
AFFIDAVIT OF WAIVER OF RIGHTS
That I, ____________, married , Filipino citizen, resident of ___________ ,
_____________, _____________ Filipino citizens, after having been duly sworn to in
accordance with law, do hereby depose and say:
1. That I am one of the heirs of the late ____________ registered owner “ A
parcel of land containing an area of SEVEN HUNDRED FORTY FIVE (745) square meters
covered by Transfer Certificate of Title No. ________ declared under Tax Declaration
No. ________ (Lot 11359-A-2, Pad-01-039537, being a portion of Lot 11359-A, Pad-1-
017102, LRC Rec. No.___) situated in the Bc. Of _______, Mun. Of ________, Prov. Of
_______________, Island of Luzon.Bounded on the SE.,along line 1-2 by Lot 11359-A-3,
of the same subd.plan, on the SW., along line 2-3 by the Lot 11359-C, Psd-1-0117102,
on the NW., along line 3-4 by the Lot 11359-A-1 of the same subd. Plan and Brgy. Road
(8.00 m.wide). Beginning at a point marked “1” of Lot 11359-A-2 on the plan being
N.27 deg. 50’W., 410.99 m….. is registered in accordance with the provisions of section
103 of the Property Registration Decree in the name of ____________, of legal age,
widower, filipino citizen and a resident of __________, _____________,
____________. ”
2. That being one of the children of the late I waive my rights over a parcel of
land described above which was the subject of EXTRA JUDICIAL
SETTLEMENT OF ESTATE WITH QUIT CLAIM duly notarized before ATTY.
____________, Notary Public, duly registered in his Notarial Registry No.
_______; Page No. ________; Book No. ______; Series of _______ considering
that I have already received my inheritance/share to the estate of my late father
_______________;
3. That I am executing this affidavit with my honest intention of telling the truth
of the facts stated herein and further executing this affidavit for whatever
purpose/s it may serve legal;
IN WITNESS WHEREOF, I have hereunto set my hand this ______ day of
__________ 2024 at ___________, ___________, Philippines.
SUBSCRIBED AND SWORN TO BEFORE ME, this _____ day of September 2024 at
______.
Doc. No. ________
Page No. _______
Book No. _______
Series 0f 2024
